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vol.87 suppl.4Alternative approaches in schistosomiasis controlNew approaches for the control and eradication of schistosomiasis in Venezuela índice de autoresíndice de assuntospesquisa de artigos
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Memórias do Instituto Oswaldo Cruz

versão impressa ISSN 0074-0276

Mem. Inst. Oswaldo Cruz v.87  supl.4 Rio de Janeiro  1992

http://dx.doi.org/10.1590/S0074-02761992000800034 

Some personal views on the control of schistosomiasis mansoniKloetzelKurt Universidade Federal de Pelotas, Escola de Medicina, Departamento de Medicina Social Pelotas Brasil 001992874221226Our views are based, on a recent study of a district of Uniao dos Palmares (Alagoas). Although being a very compact community (32 city blocks holding two thousand families), transmission is very uneven, the geometric mean egg counts in the various blocks ranging between extremes of 96 and 1920. (Results do not correlate with the availability of domestic water supply). We thus are led to conclude that: (a) transmission is primarily peridomestic, resulting from pollution of open ditches and other collections of water; (b) control of transmission can be done on a selective basis, requiring quite medest investments. Given the inefficacy of population-based chemotherapy, when used alone, the author insists that this alternative cannot any longer be overlooked. He also regrets the emphasis placed upon vaccine development; allegations that this would, at any rate, prevent severe morbidity can be dismissed, since-whatever the cause-morbidity due to schistosomiasis has been rapidly declining in Northeast Brazil.Schistosoma mansonicontrolFull text available only in PDF format.Texto completo disponível apenas em PDF.